Declaration Questions

Will you occupy the property as your primary residence? *

Yes

No

Have you been on title of another property in the last three years? *

Yes

No

Are there any outstanding judgments against you? *

Yes

No

Are you currently delinquent or in default on a Federal debt? *

Yes

No

Are you a party to a lawsuit in which you potentially have any personal financial liability? *

Yes

No

Have you conveyed title to any property in lieu of foreclosure in the past 7 years? *

Yes

No

Within the past 7 years, have you completed a pre-foreclosure sale or short sale, whereby the property was sold to a third party and the Lender agreed to accept less than the outstanding mortgage balance due? *

Yes

No

Have you had property foreclosed upon in the last 7 years? *

Yes

No

Have you declared bankruptcy within the past 7 years? *

Yes

No

Full Name
Email
Cell Phone

Years
Months